go back

Fabrication and Fitting of Ocular Conformer

Nebraska rates for HCPCS V2628

Fabrication and fitting of ocular conformer

Rates data updated July 2026.

Facilitymedian $501 · 10th–90th $363$8510%10%20%10th90th$501Professionalmedian $316 · 10th–90th $195$4070%10%20%10th90th$316$200.0$500.0$1.0K$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$398.11
Aetna
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$316.23
Typical High
$407.38
BCBS
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$478.63
Typical High
$478.63
Cigna
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$426.58
Typical High
$537.03
Medica
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$489.78
Typical High
$870.96
Medica
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$229.09
Typical High
$380.19
United
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$501.19
Typical High
$501.19
United
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$229.09
Typical High
$380.19